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Job Safety Analysis Worksheet

The document provides a job safety analysis worksheet for height work that identifies potential hazards such as falls, collapse of equipment, and falling materials. It lists required safety measures like using properly barricaded work areas, inspected scaffolding and ladders, fall protection devices, and having emergency response plans in place. Workers must be trained, use proper PPE like harnesses and helmets, and follow precautions like maintaining three points of contact and 100% tie off when working at heights over 1.8 meters.

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srinivasa rao
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868 views1 page

Job Safety Analysis Worksheet

The document provides a job safety analysis worksheet for height work that identifies potential hazards such as falls, collapse of equipment, and falling materials. It lists required safety measures like using properly barricaded work areas, inspected scaffolding and ladders, fall protection devices, and having emergency response plans in place. Workers must be trained, use proper PPE like harnesses and helmets, and follow precautions like maintaining three points of contact and 100% tie off when working at heights over 1.8 meters.

Uploaded by

srinivasa rao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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JOB SAFETY ANALYSIS WORKSHEET

Job: S-3281
Name of contractor: VIJAY TANKS & VESSELS (P) JSA:
LTD Height work
JSA Analysed by JSA Approved by
Name of officer:
Designation:
Signature & Date:
Pre-Task Briefings
Work Hazards Present Required Safety Measures/PPE
1) Unauthorized entry. 1) Area must be barricaded properly.
2)lack of awairness. .2) Pedestrian way to be clear & free from any restriction.
1.Area
3) Tool box talk should be done and work shall be start only after obtaining
preparation
permit and fall protection plan.
4.Obtain permit.
1) personal injury, Fall 1) Inspected with scffolding inspection checklist and green tagged Scaffold shall
of person. be used.
2) Collapse of ladder 2.) Proper PPE, Like Safety Shoe/Goggles/full body herness/Helmet shall be
and scfolding. used.
3)Fal of material 3) Three point contact shall be maintained during ascend/descend.
4) Good condition safety harness shall be used and 100% tie off shall be ensured
while working 1.8 mtr & above.
5) Do not carry any other item during use of ladder.
2.Approach to
6) Inspected ladders shall be used and top end shall be secured during the use.
the elavated
place using 7) spaners should be secure with tag line.
Ladder, 8) Weather condition shall be tacken in to consideration. Height work shall be
Scaffold and STOP in case of heavy wind.
MEWP. 9) Proper illumination level shall be ensured in case of working at height in night
time.
10) All loose materials shall be removed from height on daily basis.
11) Materials handling at height shall be done in safe manner using rope pulley
or any other mechanical device shich is safe.
12) Workers/Staff working at height shall be trained & should have red pass for
worklng at hegith.
13)Safety net, Life line shall be provided at height work to prevent accidental
fall.
1) Fall of Person. 1) Maintain correct posture, while carrying out the job.
3.Use of Fall 2) Failure of fall 2) Only trained and experienced workers shall allowed for hight work
Protection protection Devices & 3) 100% anchorage of fall protection device to be ensured.
devices.. Personal Injury. 4) Good condition,certified fall protection devices shall be used.
6) Safe distances maintained while jump to avoid contact
1 Ensure trained first aiders and first aid kit are available at site office
2 Emergency responce team shall be available at site
1.Medical emergency, 3 Emergency vehicle shall be available at site
4.Emergency Natural Calamities or 4. Every personnel shall aware of the assembly point location,
Preparedness Poor Weather
Security :
Condition, Fire
Fire :
Medical :

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